Individual provider Active NPI

Rayssa J. Gomez Hidalgo, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1285347344
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012870-01 Issued in NY
Practice address
335 Madison Ave
New York, NY 10017-4611
Phone
(646) 248-5032
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC01093800 NJ
Mental Health Counselor 101YM0800X 012870-01 NY Primary

Addresses

Primary practice location

335 Madison Ave
New York, NY 10017-4611

Mailing address

1912 Loring PL S Apt 4N
Bronx, NY 10453-2974
Phone (646) 359-9715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228002296 NY Practitioner - Mental Health Counselor 5698295087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Osier Health PCGroup PAC ID 6507229317, 12 clinicians

Practice addresses (Care Compare)

169 Madison Ave
New York, NY 10016-5101
Phone (646) 814-1530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC01093800NJMDMental Health Counselor
012870-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Osier Health PC Mental Health CurrentSince Dec 27, 2024 Accepting new patients
Willow Health, Inc Past Accepting new patients

Locations

169 Madison Ave
#15906
New York, NY 10016
Phone (646) 814-1530

169 Madison Ave
Ste 15906
New York, NY 10016

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1285347344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 LORING PL S APT 4N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104532974",
            "telephone_number": "646-359-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174611",
            "telephone_number": "646-248-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ HIDALGO",
        "first_name": "RAYSSA",
        "middle_name": "J.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01093800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012870-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.